In Nigeria, 20 percent of women want family planning and reproductive health services, but do not have access to them. USAID is increasing access by raising awareness and improving service delivery.

Why Our Work Matters…

Globally, family planning and reproductive health services increase maternal and child survival and have profound social and economic benefits, yet are not accessible for 225 million women in developing countries.

Illustrative results in 2011

46,700,000 people exposed to a USAID family planning or reproductive health message

Reaching the audience is an important first step to increasing knowledge of family planning products, practices, and services.

3,100,286 couple years of protection (CYP) provided

Couple years protected is the estimated protection provided by family planning methods during a one-year period, based upon the volume of all contraceptive methods provided to clients during that period. It is a proxy measure of contraceptive prevalence and subsequent reduction in unintended pregnancies.

Counseling leads to increased family planning and reproductive health use, which in turn reduces the number of unintended pregnancies; the number of abortions; and neonatal, infant, child and maternal death and disease.

4,354 people trained in family planning or reproductive health services

Trainings on family planning and reproductive health topics for healthcare workers and leadership training programs for district and governorate managers increase use of family planning and reproductive health services. Training is a crucial component of building in-country capacity to support family planning and reproductive health services.

980 service delivery points provided family planning and reproductive health counseling or services

Service delivery points are clinics, hospitals, facilities, pharmacies, or social marketing sales points. Counseling leads to increased use of family planning and reproductive health services.

A stock-out is the absence of a contraceptive product that prevents the service delivery point from offering that method. Stock-outs are used by in-country program managers and stakeholders to measure how well a supply system is working and identify areas for supply chain strengthening. This number was higher than anticipated because of an unreliable distribution system, which is a focus of improvement for USAID in fiscal year 2012.

Illustrative results in 2012

3,317,192 couple years of protection (CYP) provided

Couple years protected is the estimated protection provided by family planning methods during a one-year period, based upon the volume of all contraceptive methods provided to clients during that period. It is a proxy measure of contraceptive prevalence and subsequent reduction in unintended pregnancies.

12 percent of women of reproductive age or their partner used a modern method of contraception

USAID activities contribute to, but are not wholly responsible, for this indicator – which is measured at the national level. Using contraception allows women to choose when to have children, which reduces the number of unintended pregnancies, abortions, and infant, child, and maternal deaths.

Illustrative results in 2013

2,837,789 couple years protected (CYP)

CYP is the estimated protection provided by family planning methods during a one-year period, based upon the volume of all contraceptive methods provided to clients during that period. It is a proxy measure of contraceptive prevalence and subsequent reduction in unintended pregnancies.

10 percent of women of reproductive age or their partner used a modern method of contraception

USAID activities contribute to, but are not wholly responsible, for this indicator – which is measured at the national level. Using contraception allows women to choose when to have children, which reduces the number of unintended pregnancies, abortions, and infant, child, and maternal deaths.

Illustrative results in 2014

3,574,672 couple years of protection (CYP) provided

Couple years protected is the estimated protection provided by family planning methods during a one-year period, based upon the volume of all contraceptive methods provided to clients during that period. It is a proxy measure of contraceptive prevalence and subsequent reduction in unintended pregnancies.

551 women received surgery for fistula

Obstetric fistula is the result of prolonged labor without prompt medical intervention, causing a hole in a woman’s birth canal which leaves her with chronic incontinence and in many cases, the loss of the baby. Nearly half of worldwide fistula cases occur in Nigeria, with between 50,000 to 100,000 new cases each year. Women with Fistula are stigmatized among their peers and by society in general.

88 percent of service delivery sites providing family planning (FP) counseling or services

Increased FP use is related to the availability of FP counseling and services. FP counseling and services increase the contraceptive prevalence rate, which in turn reduces the unmet need for FP; the number of unintended pregnancies; the number of abortions; and neonatal, infant, child, and maternal deaths and disease. This measures the percent of service delivery sites providing FP information or services of the total the number of service delivery points planned to receive USG assistance over the life of the project.

Reaching the audience is an important first step to increasing knowledge of FP/RH products, practices, and services.

13 percent of service delivery points (SDPs) that experienced a stock out of any contraceptive method that the SDP is expected to provide

A stock out is the absence of a contraceptive product or related supplies at a SDP. The availability of contraceptive products and related supplies is a critical determinant of the success of a family planning program. This indicator measures the ability of a supply system to maintain a constant supply of products.

These HIV-positive parents joined a support group and treatment center and now have a 5-month-old HIV-negative baby.

Deidre Schoo, International Center for AIDS Care and Treatment Programs

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